Moderate Oligospermia and Treatment of Oligospermia
Moderate Oligospermia and Treatment of Oligospermia is a medical condition found in men, which is characterised by a low sperm count in their semen. To impregnate a woman, a healthy amount of sperm in a man’s semen is usually necessary. As stated by WHO in the year 2009, if the sperm count is less than 15 million sperm per millilitre (mL), then the condition is called oligospermia.
Oligospermia can be classified into three categories:
- Mild oligospermia, when the sperm count is between, 10 to 15 million sperm/mL.
- Moderate oligospermia is diagnosed when sperm count lies between 5 to 10 million sperm/mL.
- Severe oligospermia when the sperm count is between 0 and 5 million sperm/mL.
Causes of Oligospermia: Moderate Oligospermia
The causes of the condition include: Treatment of Oligospermia
- Hormonal imbalances: The hormones required for sperm production are produced by the hypothalamus and pituitary glands. The sperm production gets impaired if any alteration occurs in these hormones.
- Ejaculatory problems: When semen instead of flowing out of the penis, reverses back to the bladder, then it is known as retrograde ejaculation. This condition can reduce the sperm counts and cause infertility in men.
- Undescended testicles: Men born with this condition are unlikely to be fertile. If during fetal development, the testicles do not descend from the abdomen into the sac that forms the scrotum, then the fertility of that person gets hampered.
- Anti-sperm antibodies: Certain immune system cells known as anti-sperm antibodies tend to kill the sperm cells by mistakenly identifying them as harmful invaders causing low sperm count.
- Chromosomal abnormalities: Certain genetic disorders like Klinefelter’s syndrome, Kallmann’s syndrome and Kartagener’ syndrome can cause abnormal development in the male reproductive organs.
- Obstructions: Obstruction is one of the major causes of oligospermia. The tubes that carry sperm, if blocked by some abnormal developments like cystic fibrosis or any injury due to prior surgeries and infections, can lead to a low flow of semen.
- Trauma or injury: Some surgeries like vasectomy, hernia repair surgery, scrotal surgeries, prostate surgeries, etc. can reduce the sperm count in your ejaculate.
- Certain medications: Certain medicines like antifungal, antibiotic, ulcer medicines, chemotherapy drugs, testosterone replacement therapy etc. can impair sperm production in one’s body.
- Environmental factors: Exposure to chemicals, radiation, and heavy metals can reduce sperm production.
Symptoms of Moderate Oligospermia
For some men, there are no obvious signs and symptoms of oligospermia seen. Only when they find difficulty in conceiving a child, this medical condition gets diagnosed. But if a man has oligospermia due to other underlying issues like chromosomal abnormalities, hormonal imbalance or any obstruction, then certain signs and symptoms may occur. Let’s take a look at the symptoms of oligospermia as given below:
- Swelling, pain, or lump in testis.
- Sexual functioning issues like the inability to maintain an erection during sexual intercourse or erectile dysfunction.
- Low facial and body hair growth and other signs of chromosomal abnormalities and hormonal imbalances.
- Thick discharge.
- Enlarged and swollen veins in the scrotum.
- If this problem happens due to transmission of a virus, then one can experience some burning sensation while urinating.
When to See a Doctor – Moderate Oligospermia
If one finds any of the above-given symptoms, then seeking help from a fertility expert as early as possible is the best option here. He/She would further diagnose the condition and provide the treatment accordingly.
Risk Factors and Moderate Oligospermia and Treatment of Oligospermia
There are a number of risk factors associated with low sperm count. Below listed are the risks of oligospermia:
- Unhealthy habits like smoking, consuming alcohol, and illicit use of drugs
- Being overweight
- Depression or stress in work and family life
- Being affected by certain infections in past
- Exposure to toxins and chemicals
- Testicles being exposed to extreme heat
- Trauma or injury to the testicles
- Use of certain medications
- Undescended testicles
- Having chronic illness or tumors and undergoing treatments like radiation and chemotherapy
- Genetic and chromosomal abnormalities can cause this fertility disorder
Oligospermia is caused by various medical, genetic, lifestyle and environmental factors. Certain aspects are unavoidable, but there are other such known factors that can be prevented to protect one’s fertility.
Leading a healthy life, keeping stress at bay and avoiding chemical exposure are some of the effective measures to have healthy sperm production. If a person is affected by oligospermia due to any genetic and medical reason, then a proper treatment can improve their production in some cases.
Diagnosis of Oligospermia and Treatment of Oligospermia
Testing and diagnosis of the condition may involve the following:
- Semen analysis
- Scrotal ultrasound
- Hormone testing
- Post-ejaculation urine analysis
- Genetic tests
- Testicular biopsy
- Anti-sperm antibody tests
- Specialized sperm function tests
- Transrectal ultrasound
Treatment of Oligospermia
There are many ways to treat this medical condition, which includes the following:
- If varicocele or vasectomy is the reason for oligospermia, then it can be easily corrected or reversed through a surgery
- With proper medications and hormone treatments, the sperm count can be increased in some cases.
- Maintaining a good and healthy lifestyle through regular exercises and avoiding smoking and alcoholism can improve the sperm count to some extent.
- If nothing works, then consulting a fertility expert will be your next best option. The doctor would help you with assisted reproductive treatments.
- Ejaculation issues
- While many men with oligospermia have typical ejaculations, some ejaculation problems may reduce sperm count. Retrograde ejaculation is one such issue. This occurs when semen enters the bladder instead of leaving from the tip of the penis.
- Other things that may interfere with typical ejaculation include:
- past surgeries
- Beta blockers, antibiotics, and blood pressure medications may cause ejaculation problems and reduce sperm count.
- Hormone issues
- The brain and the testicles produce several hormones that are responsible for ejaculation and sperm production. An imbalance in any of these hormones may lower sperm count numbers.
- Exposure to chemicals and metals
- Pesticides, cleaning agents, and painting materials are a few of the chemicals that can reduce sperm count. Exposure to heavy metals, such as lead, can cause this problem, too.
- Overheating testicles
- Sitting frequently, placing laptops over your genitals, and wearing tight clothing may all contribute to overheating. An increase in temperature around the testicles may temporarily reduce sperm production. It’s unclear what long-term complications may occur.
- Drug and alcohol use
- The use of some substances, including marijuana and cocaine, may reduce sperm counts. Excessive drinking can do the same. Men who smoke cigarettes may have lower sperm counts than men who do not smoke.
- Weight problems
- Being overweight or obese increases your risk for low sperm counts in several ways. Excess weight can directly reduce how much sperm your body can make. Weight problems may also interfere with hormone production.
Have sex more frequently
If you’re trying to have a baby, increasing your frequency of intercourse can improve your chances of conception, especially around the time your partner is ovulating.
Timing sex to ovulation can increase your chances for conception. Work with your partner’s doctor to find the best times for intercourse for conception.
Don’t use lubricants
Some lubricants and oils can reduce sperm motility and prevent sperm from reaching an egg. If lubricant is needed, talk with your doctor about a sperm-safe option.